Individual provider Active NPI

Abigail Benedict, LLMSW

  • Social Worker
  • Muskegon, MI
National Provider Identifier
1861800427
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801109740 Issued in MI
Practice address
1061 S Getty St
Muskegon, MI 49442-4066
Phone
(231) 722-7980
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Social Worker 104100000X 6801109740 MI Primary

Addresses

Primary practice location

1061 S Getty St
Muskegon, MI 49442-4066

Mailing address

3721 Wickham Dr
Norton Shores, MI 49441-4611
Phone (231) 740-6443

Other practice location 1

3721 Wickham Dr
Norton Shores, MI 49441-4611
Phone (231) 683-2627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230814002706 MI Practitioner - Clinical Social Worker 9436511011 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801109740MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Muskegon CurrentSince Jul 8, 2023 Accepting new patients
Three Fates LLC CurrentSince Feb 15, 2024 Accepting new patients
County of Muskegon CurrentSince Jul 8, 2023 Accepting new patients

Locations

754 Pine St
Muskegon, MI 49442
Phone (231) 724-1444

376 E Apple Ave
Muskegon, MI 49442
Phone (231) 724-3699

640 Seminole Rd
Norton Shores, MI 49441
Phone (231) 332-3827

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1861800427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 WICKHAM DR",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414611",
            "telephone_number": "231-740-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 S GETTY ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494424066",
            "telephone_number": "231-722-7980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3721 Wickham Dr",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494414611",
            "country_code": "US",
            "telephone_number": "231-683-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "ABIGAIL",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801109740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.